Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.
Peter Attia
May 26, 2025
Mindsip insights from this episode:
Choose personalized physical therapy over cookie-cutter approaches
Beware of 'PT mills' where one therapist treats multiple clients at once with generic, insurance-driven exercises, as this approach is not customized and often ineffective.
Prioritize coordination before strength in youth athletes
Rushing to build strength in young athletes without first establishing coordination and proper technique is a recipe for injuries like lumbar stress fractures.
Strengthen feet early in pregnancy to support arch health
Women should start foot strengthening exercises early in pregnancy to counteract the effects of the relaxin hormone and added weight, which can compromise the foot's arch.
Understand running as a rotational exercise for better performance
Running is not just a straight-ahead motion but a single-leg rotational propulsion drill driven by a 'spinal engine,' where the spine, pelvis, and feet must work in sync.
Train for exceptional fitness in your 90s for lasting health
Training to be exceptionally fit in your 90s is a more robust strategy that by default makes you exceptionally fit in your 40s, avoiding a short-term 'boom-bust' approach.
Achieve rapid recovery post-shoulder surgery with pre-hab and collaboration
A patient can be out of a sling in 24 hours after major shoulder surgery if there is proper pre-hab and close collaboration between the surgeon and rehab specialist.
Utilize passive therapies to create pain-free windows for strength training
The goal of passive modalities like adjustments or cupping is to create a temporary, pain-free window to allow for the real work of retraining movement and building strength.
Recognize pain as a threat signal, not just tissue damage
Pain does not always mean tissue damage; it is often your brain perceiving a threat and telling you it doesn't like what's happening.
Address stiff feet to prevent chronic pain in knees, hips, and spine
A stiff foot that doesn't absorb shock properly can cause force to travel up the body, leading to chronic knee, hip, and spine issues.
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